Analysis of the Medical Records Management Practices at Chakechake Hospital, Pemba, Zanzibar.

Chikwindo, Francis Emanuel (2024) Analysis of the Medical Records Management Practices at Chakechake Hospital, Pemba, Zanzibar. Masters thesis, The Open University of Tanzania.

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Abstract

This study analyzed the management of medical records at Chakechake Hospital, a public hospital in Pemba, Zanzibar. The objectives were to analyze current medical records management practices, evaluate staff knowledge and competencies, and identify challenges in managing medical records. A mixed-methods approach was used, combining quantitative and qualitative data from 80 respondents that sampled purposively and conveniently from 121 population. Results showed that the hospital creating average records per month, including 1,400 to 1,500 records and the created records are managed through paper and electronic formats. Findings of staff education level shows that 45 (57%)have certificate, 18 (22%) have diploma, 16 (20%) have bachelor degree and 1 (1%) has master degree. Only two staff under records management section have adequate knowledge and skills regarding to supervision of records while health care professionals have not adequate knowledge and skills about records management Challenges reported includelimited number of staff, lack of awareness and training, unstable Electronic Medical Records system used in managing records, limited number of records management facilities and too much workload. These challenges limit the effectiveness of the records management practices at the hospital and efficiency of customer services delivered to the patients. To improve record management, the researcher recommends the following; government through the Ministry of Health Zanzibar to employ qualified personnel to fill the deficit of the staff, providing trainings and workshops to the staff, Electronic Medical Record system has to be stabilized and records management facilities to be procured. Key words: Medical records, Electronic Medical Records, Chakechake hospital

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